Staff Special Consultant Pay Voucher
Instructions: Use this Pay Voucher for Staff Special Consultant assignments only. Use one voucher per
pay period. Vouchers are due no later than noon on the first working day of the pay period following
the month worked. Please attach a self-addressed stamped envelope if you would like your pay
warrant to be mailed.
Employee ID:
Payroll Unit No.:
Last Name:
Pay Period
Record No.:
HR Dept. No.:
Month:
PeopleSoft Position Number:
HR Dept. Name:
First Name:
Year:
Distribution of Labor Cost:
Finance
Department ID
Fund
Account
Program
Project/Grant
Class
Days to be
Applied
601300
601300
601300
Total:
0
Day(s) of the Month:
1
6
11
16
21
26
2
7
12
17
22
27
3
8
13
18
23
28
4
9
14
19
24
29
5
10
15
20
25
30
31
Daily Rate:$
Total Days:
Total Payment:
Employee Address:
City:
State:
Zip:
Date:
Employee Signature:
Project Supervisor/P.I. Signature:
Appropriate Administrator Signature:
Payroll & Benefits (07/12)
Campus
Phone #
Campus
Phone #
Date:
Date:
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